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目的研究综合性医院院内急救体系建设及运作模式。方法组建由专职急危重症抢救人员组成的特别行动小组,7×24 h待命,随时应召负责全院住院患者和门急诊的急危重症应急抢救,随机抽取47例急危重症患者为实验组;同时随机抽取同一地区另外一家综合性三甲医院住院的急危重症患者共45例为对照组。对照组采用传统的院内急救模式,患者全部由临床各科室自行救治为主,仅在需要气管插管时,由麻醉师前往实施。比较实验组和对照组在抢救成功率、急救反应时间、气管插管操作时间的区别。结果实验组的抢救成功率高于对照组,急救反应时间少于对照组,二者在气管插管操作时间上没有区别。结论在大型综合性医院内建立一支7×24 h全天候为全院急危重症患者抢救服务的固定的专职急危重症抢救特别行动小组,负责院内的急危重症患者的救治尤其是早期甚至超早期的基础生命支持和高级生命支持是一种十分可行的做法,它使抢救流程通畅,缩短抢救时间,提高抢救成功率。
Objective To study the construction and operation of first aid system in general hospitals. Methods A special action group composed of full-time emergency critical care personnel was set up. It was on standby for 7×24 h. It was at any time responsible for emergency treatment of inpatients and outpatient emergencies in the hospital. 47 patients were randomly selected as the experimental group. Meanwhile, a total of 45 critically ill patients hospitalized in another comprehensive tertiary hospital in the same region were randomized to a control group. The control group used the traditional in-hospital emergency mode. All the patients were mainly treated by the clinical departments themselves. Only when an intubation was needed, the anaesthetist went to the implementation. The difference between the rescue success rate, emergency response time, and tracheal intubation operation time was compared between the experimental group and the control group. Results The rescue success rate of the experimental group was higher than that of the control group. The emergency response time was less than that of the control group. There was no difference in the operation time of the tracheal intubation. Conclusion Establish a dedicated special emergency team to rescue emergency patients with 7×24 h all-weather emergency services in large general hospitals. It is responsible for the treatment of critically ill patients in the hospital, especially early and even super The early basic life support and advanced life support is a very feasible practice. It makes the rescue process smooth, shortens the rescue time, and improves the rescue success rate.